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- <br />„ ' I <br /> theEvergreen � CnN�TRUCTION ��� � � � �� <br /> CIIY OF <br /> PERMIT `' <br /> everett PERMIT �. ���1 0 <br />■ qTYHALL2b9�6745 � COMBINATION � �UILDING ❑ MECHANICAL ❑ PLUMBINCa tU >- . o0 <br /> I EVERETi,WA 9R207 . <br />' GWNER <br /> MAtL ADC'�ESS GTY 21° � PHONE � <br /> T rn oQ�c ��� �x��. .t� <br /> �. We� Musselma� R�MqIL/?DESS �hg� "�'P•� "E y <br /> ARCHITECT OH OESIGNER O � � <br />� ' CRY ZIP V1 PNONE � �� UCENSE� �� <br /> GENERAL CONTRACTOR l.�AI:AD�fli55 � <br /> Jr <br /> Owner � PHONE LIGENSE I <br /> MAILAODRE55 CITY ZIP <br />' MEGNANICALfANTRACTOR — — <br /> i PWMBV�G GONiFAGiOd <br /> !.IAILFOORE55 CIN 21P —� PMONE UCENiE/ <br /> I ClA55OF WOFN <br /> I ❑NEW ❑ADDI710N ❑ALTERATION C�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE — <br /> VALUATIONOf WORN <br /> E 1����� <br /> DESCFIOE WORK <br /> Remodel interior, nonstructural , reiaire including elect heat, insulate, tiaindoia: <br /> PPOPOSED USE OF BUILOING <br /> Rental I HEREBY CERTIFY THAT I HAVE READ AND EXA!�11NED THIS - <br /> �e�n�oescAirno�+oFPnoPearvisHowee�cv�oanrrRcnFouacori�s� PLICATION AND KNOW THE SAME TO B[ TRUE AND CORRECT. <br /> MOGTeS additlOri t0 ALL PROVISIONS GF IAWS AND ORDINANCES GOVERNING THIS <br /> or 11 a���_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> FiEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> O17.V11 Park PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIOP OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiURG OF CONiR/.':iOR UR F'Ii110NZE�AGENT DAtE <br /> JOB FDORESS X 4/15�8 0 <br /> 10311 - Sth P1 . 19. <br /> MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE UR ITEM FEE NO. TYPE OF E�UIPMENT <br /> AIR COND. UNIT$—H P.6A <br /> WATER CLOSET(TOILET) <br /> HEFRIGERATION UWTS—H.B EA <br /> BATHTUB <br /> BOILERS—H P.EA. <br /> LAVATORY(WASH BASIN) <br /> GAS FIRED A.C.UNITS—TONNAGE EA <br /> SNOWER <br /> PORCED AIR SYSTEIAS—3 T.U. M EA. <br /> HITCHEN SINK 8 DISP. M <br /> WALL HEATEflS—BT.U. . — <br /> DISNWASHER �,� <br /> — UNIi HEATERS—B T.U. <br /> LAUNDRYTflAV <br /> EVAPORATIV[COOLEF75 <br /> CLOTHES WASHER C1.OTHES DR1'ERS — <br /> 1 WATER HEATER <br /> VENTILATION FAN <br /> UHINAL RANGE HOOD <br /> DRINKING FOUNTAIN C.F.M. <br /> AIR kiANDLING UNIT— � <br /> FLOOR DRAIN $TOV[ <br /> VACUUM BREANERS <br /> ROOF Df1AIN5—RAINLEADERS <br /> MET�L FIREPLACE B CHIn1NEY <br /> $INK(SERbICE—BAR.FTQ) <br /> SUB TOTAL 1 2 SUfl TOTAL 5 � OO <br /> 5 PERMiT S <br /> PERMIT <br /> TUTAL FEE S TOTALFEE f . <br /> PI1.:J CHECK FEF. <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBAry� P�N CHECK NUMBER r,p�EIP;N�J <br /> 7471 FEE 2G .00 � 48278 <br /> USE ZONE LOT APEA VACAN7 SITE FEES VALUA710N FEE <br /> ❑YES LiNO — . <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWFILING UNITS — <br /> BUILDING b lp 00� 5Z 00 ' <br /> SIZE OF BLOG. NO.OF STORIES ��A%.OCC.IOAD pLUMBING 1 S O O <br /> FIRE ZOHL BASEMENT FIRE SPRINKLERS MEC.HANICAL <br /> FEOUIFED <br /> (1VES ❑NO � <br /> gy DATE O7HER <br /> APPNOVALS . — <br /> 1. ENVIRONMENTAL f,HECK LIST PENALTY U.�.0 <br /> SEC.303(a) <br /> 2. BUILDING PLANS o 70TAL . �C7 O O <br /> 3.�FIRE HYDRANT jy. <br /> . 4. FIRE�PROT ION SYSY�1 PEHMIT VALIDATION 6 g�� �,��,�Q —^ � , <br /> t' Z — WHEN PROPERLY VALICATEU(IN THIS P 1 AI$.�8 <br /> 5. GF7AD <br /> 6,,,6. DRAIt�_,E'-. . � • � � . <br /> 7. ENVIF�JM NTALIMPl�jSTATEMENT 'Y� U i\ RC:CE��T I` <br /> 8. HEAL DI Ci � • C� � <br /> �APPLICA�N� ".BY, • �NS CHECKED�Y APPR.FCR ISSUANCE BY THA��n YO U � , <br /> Cl'f <br /> C � <br /> I 6 � 80 <br /> � ADURE55 FILE - <br /> � <br />